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Tetralogy of Fallot (TOF) Life expectancy
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Tetralogy of Fallot (TOF) Life expectancy

Tetralogy of Fallot (TOF) Life expectancy... I've been searching for an hour and can't find a strait answer on the subject.  I'm 32 years old with Tetralogy of Fallot (TOF), I've had a two corrective surgeries and just found out another procedure is on the way.  The first was to shore up the hole between ventricles and open the pulmonary valve (when I was two years old).  Unfortunate the doctor I was seeing from the ages of 18-25 never mentioned that I would need additional surgeries or that my right vertical was growing do to blood draining back through the valve.  I finally went to a new doctor who told me I'd need a replacement valve surgery ASAP.  My right ventricle did reduce in size after the valve replacement surgery.  Here I am 7 years later and needing a new one.  My new doctor is looking into getting me approved for the new procedure of replacing the valve no-evasively with a heart catheter.  I've been lucky with my procedures so far, my first one by all acounts was done very well and my second went smoothly at the Cleveland clinic.

So as a new father I'd like to have some answers as far as life expectancy.  Even if the answer is - we don't know for sure.  I get different feelings about the subject every time I see my doctor.  Worst case and best case would be nice.  I know that there aren't very many examples since it's only been so long since we've been doing these procedures but how about an estimation?  A best guess?  Anything would help.  I'm going to live with a large right ventricle and a valve replacement every 5-10 years.  OK, great, can I keep it up for thirty years?? Any info would be appreciated.      
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From my quick read on the subject, it sounds like as long as you stay on top of your checkups and deal with new issues the outcome is excellent.  I also read it's very common to need the valve(s) revised as you grow.

Some of the newer valves can last 20 plus years.  Do you know why the newer adult valve started leaking?  

There are 3 or 4 options one the valve replacement.  If it were me I'd seek a couple opinions on them and choose the one you like best.  The least invasive (cath) might not be expected to last as long as traditional.
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hi dr aejaz malik responding . t.o f corrective surgery if done by expert and skill full surgeon , gives  as good life expectancy as a normal healthy  one has provided u check ur heart parameters on regular basis and if they r correct and optimum. ur case seems to be messed up .
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Hello,
I am a 41 year old male and was born with TOF in 1971. I was operated by Dr. Zerbini in Brazil when I was 2 and have lived a normal life since. However when I had my first kid at the age of 30 my wife told me to go check my heart just in case.
I have exaclty what you have a leaking right pulmonary valve and a bigger muscle on my right ventricule.
My doctors perfomed a procedure in 2007 to alieviate the leaking by placing a pulmonary STENT on my pulmonary artery. This was done without heart surgery but by catheter. It was a 3 hour procedure and I was just slept throught it and was out the next day. The difference was amazing. I felt young again. Since then I do follow ups every 2 years (ultrasounds, stress tests, etc.) they told me that later in life I may need a valve replacement but not for another 10 to 15 years. the leakage is very low now.
I am being followed at the Cardiology institut of Montreal Canada. I don't know if the STENT was the best long term solution but from hwat I have read so far this was the best for my case. I would suggest that you seek the advice of a heart specialist. Let me know if you need any more info. I just can't imagine going throught valve replacements every few years.
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